Xubian Wellness & Acne Clinic, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

222305 Issued in NC

Legal business name

XUBIAN WELLNESS & ACNE CLINIC, P.C.

Practice address

201 S McPherson Church Rd Ste 228
Fayetteville, NC 28303-4995

Phone

(910) 429-2263

NPI assigned

Aug 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stacy Washington, RNNPI 1598164345

Title

Clinic Director

Phone

(910) 429-2263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Washington, RN

  • General Practice Registered Nurse
  • Fayetteville, NC
  • NPI 1598164345
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1689073447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 EAGLE CREST LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068093",
            "telephone_number": "910-574-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MCPHERSON CHURCH RD STE 228",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034995",
            "telephone_number": "910-429-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUBIAN WELLNESS & ACNE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "910-429-2263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "222305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Wroblewski, RN, IBCLC
• WSSH Powerback Rehabilitation Services, LLC
• Yongqin Wu, MD
• Marsha Haley Wyland, LCMHCA
• Linda Xiong, PHARMD
• Haseeb Yahya, DO
• Ravichand Yalamanchili
• Yamez Inc.
• Yamez Inc.
• Grant Yanagi, MD

• Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.